The Philippine Health Care Delivery System
Studies in
January 2013
HEALTH POLICY
Provincial Healthcare Index 2013 by Bacchus Barua
Key findings This study provides a framework for measuring the provision of healthcare in comparison to healthcare expenditures, across provinces, in Canada. The provision of healthcare in each province is captured using 46 indicators, aggregated into four broad components: [1] availability of resources; [2] use of resources; [3] access to resources and [4] clinical performance of medical goods and services. When compared to other provinces, Quebec receives the best value for money from its public healthcare system, followed by Ontario and New Brunswick. Conversely, Newfoundland & Labrador receives the least value for money from its public healthcare system, followed by Prince Edward Island and Saskatchewan. The Provincial Healthcare Index 2013 reveals how provinces have struck different balances between health expenditures and health system performance, enabling policymakers and taxpayers to discern whether they receive good value for their health care dollars.
Contents
Executive summary Introduction / 7 / / / 9 11 23 / 37 31 / iii
What is measured? Why is it measured? How is it measured?
Results by component Results by province Conclusion References / / 59 61 /
About the author / Acknowledgments /
69 69 / 70 / 71 / 72
Publishing information
Supporting the Fraser Institute
Purpose, funding, & independence About the Fraser Institute Editorial Advisory Board / / 73 74
www.fraserinstitute.org / Fraser Institute / i
ii / Fraser Institute / www.fraserinstitute.org
Executive summary
The Fraser Institute’s Provincial Healthcare Index 2013 uses publically available data for the year 2010 (or the most recent year available) to measure the provision of healthcare in comparison to healthcare expenditures across provinces in Canada. The value for money that provinces receive can be thought of as consisting of two, equally important parts:
January 2013
HEALTH POLICY
Provincial Healthcare Index 2013 by Bacchus Barua
Key findings This study provides a framework for measuring the provision of healthcare in comparison to healthcare expenditures, across provinces, in Canada. The provision of healthcare in each province is captured using 46 indicators, aggregated into four broad components: [1] availability of resources; [2] use of resources; [3] access to resources and [4] clinical performance of medical goods and services. When compared to other provinces, Quebec receives the best value for money from its public healthcare system, followed by Ontario and New Brunswick. Conversely, Newfoundland & Labrador receives the least value for money from its public healthcare system, followed by Prince Edward Island and Saskatchewan. The Provincial Healthcare Index 2013 reveals how provinces have struck different balances between health expenditures and health system performance, enabling policymakers and taxpayers to discern whether they receive good value for their health care dollars.
Contents
Executive summary Introduction / 7 / / / 9 11 23 / 37 31 / iii
What is measured? Why is it measured? How is it measured?
Results by component Results by province Conclusion References / / 59 61 /
About the author / Acknowledgments /
69 69 / 70 / 71 / 72
Publishing information
Supporting the Fraser Institute
Purpose, funding, & independence About the Fraser Institute Editorial Advisory Board / / 73 74
www.fraserinstitute.org / Fraser Institute / i
ii / Fraser Institute / www.fraserinstitute.org
Executive summary
The Fraser Institute’s Provincial Healthcare Index 2013 uses publically available data for the year 2010 (or the most recent year available) to measure the provision of healthcare in comparison to healthcare expenditures across provinces in Canada. The value for money that provinces receive can be thought of as consisting of two, equally important parts:
References: Canadian Institute for Health Information [CIHI] (2012c). Frequently Asked Questions. Canadian Hospital Reporting Project [CHRP]. , as of August 22, 2012. World Health Organization [WHO] (2000). The World Health Report: Health Systems: Improving Performance. . Zelder, Martin (2000). Spend More, Wait Less? The Myth of Underfunded Medicare in Canada. Fraser Forum, Special Issue (August). Citation Barua, Bacchus (2013)